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40
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Text
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Backlog
URL Address
<a href="http://doi.org/10.1097/CCM.0b013e3181e8ad23" target="_blank" rel="noreferrer">http://doi.org/10.1097/CCM.0b013e3181e8ad23</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Models for structuring a clinical initiative to enhance palliative care in the intensive care unit: a report from the IPAL-ICU Project (Improving Palliative Care in the ICU)
Publisher
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Critical Care Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2010
Subject
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Humans; Palliative Care; Critical Care; Models; ICU Decision Making; Organizational
Creator
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Nelson JE; Bassett R; Boss RD; Brasel KJ; Campbell ML; Cortez TB; Curtis JR; Lustbader DR; Mulkerin C; Puntillo KA; Ray DE; Weissman DE; Improve Palliative Care in the Intensive Care Unit Project
Description
An account of the resource
OBJECTIVE: To describe models used in successful clinical initiatives to improve the quality of palliative care in critical care settings. DATA SOURCES: We searched the MEDLINE database from inception to April 2010 for all English language articles using the terms "intensive care," "critical care," or "ICU" and "palliative care"; we also hand-searched reference lists and author files. Based on review and synthesis of these data and the experiences of our interdisciplinary expert Advisory Board, we prepared this consensus report. DATA EXTRACTION AND SYNTHESIS: We critically reviewed the existing data with a focus on models that have been used to structure clinical initiatives to enhance palliative care for critically ill patients in intensive care units and their families. CONCLUSIONS: There are two main models for intensive care unit-palliative care integration: 1) the "consultative model," which focuses on increasing the involvement and effectiveness of palliative care consultants in the care of intensive care unit patients and their families, particularly those patients identified as at highest risk for poor outcomes; and 2) the "integrative model," which seeks to embed palliative care principles and interventions into daily practice by the intensive care unit team for all patients and families facing critical illness. These models are not mutually exclusive but rather represent the ends of a spectrum of approaches. Choosing an overall approach from among these models should be one of the earliest steps in planning an intensive care unit-palliative care initiative. This process entails a careful and realistic assessment of available resources, attitudes of key stakeholders, structural aspects of intensive care unit care, and patterns of local practice in the intensive care unit and hospital. A well-structured intensive care unit-palliative care initiative can provide important benefits for patients, families, and providers.
2010-09
Identifier
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<a href="http://doi.org/10.1097/CCM.0b013e3181e8ad23" target="_blank" rel="noreferrer">10.1097/CCM.0b013e3181e8ad23</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2010
Backlog
Bassett R
Boss RD
Brasel KJ
Campbell ML
Cortez TB
Critical Care
Critical Care Medicine
Curtis JR
Humans
ICU Decision Making
Improve Palliative Care in the Intensive Care Unit Project
Journal Article
Lustbader DR
Models
Mulkerin C
Nelson JE
Organizational
Palliative Care
Puntillo KA
Ray DE
Weissman DE
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
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URL Address
<a href="http://doi.org/10.1097/PCC.0000000000000209" target="_blank" rel="noreferrer">http://doi.org/10.1097/PCC.0000000000000209</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Integrating palliative care into the PICU: a report from the Improving Palliative Care in the ICU Advisory Board
Publisher
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Pediatric Critical Care Medicine
Date
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2014
Creator
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Boss R; Nelson JE; Weissman DE; Campbell M; Curtis Randall; Frontera J; Gabriel M; Lustbader DR; Mosenthal A; Mulkerin C; Puntillo KA; Ray DE; Bassett R; Brasel K; Hays R
Description
An account of the resource
OBJECTIVE: This review highlights benefits that patients, families and clinicians can expect to realize when palliative care is intentionally incorporated into the PICU. DATA SOURCES: We searched the MEDLINE database from inception to January 2014 for English-language articles using the terms "palliative care" or "end of life care" or "supportive care" and "pediatric intensive care." We also hand-searched reference lists and author files and relevant tools on the Center to Advance Palliative Care website. STUDY SELECTION: Two authors (physicians with experience in pediatric intensive care and palliative care) made final selections. DATA EXTRACTION: We critically reviewed the existing data and tools to identify strategies for incorporating palliative care into the PICU. DATA SYNTHESIS: The Improving Palliative Care in the ICU Advisory Board used data and experience to address key questions relating to: pain and symptom management, enhancing quality of life, communication and decision-making, length of stay, sites of care, and grief and bereavement. CONCLUSIONS: Palliative care should begin at the time of a potentially life-limiting diagnosis and continue throughout the disease trajectory, regardless of the expected outcome. Although the PICU is often used for short term postoperative stabilization, PICU clinicians also care for many chronically ill children with complex underlying conditions and others receiving intensive care for prolonged periods. Integrating palliative care delivery into the PICU is rapidly becoming the standard for high quality care of critically ill children. Interdisciplinary ICU staff can take advantage of the growing resources for continuing education in pediatric palliative care principles and interventions.
2014-10
Identifier
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<a href="http://doi.org/10.1097/PCC.0000000000000209" target="_blank" rel="noreferrer">10.1097/PCC.0000000000000209</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2014
Backlog
Bassett R
Boss R
Brasel K
Campbell M
Curtis Randall
Frontera J
Gabriel M
Hays R
Journal Article
Lustbader DR
Mosenthal A
Mulkerin C
Nelson JE
Pediatric Critical Care Medicine
Puntillo KA
Ray DE
Weissman DE